title: [Current strategy in PCI for CTO].
abstract: Recently, CTO PCI has come into wide use all over the world and it has been standardized. The 1st step is an antegrade approach using single wire. The 2nd strategy would be parallel wire technique. And the next would be a retrograde approach. In this method, retrograde wiring with Corsair is done at first. If it is successful, externalization is established using 300 cm wire, and this system is able to provide strong back-up support. If it fails, reverse CART technique is the next step. IVUS guided wiring is a last resort. The 2nd wire is manipulated with IVUS guidance. Now, initial success rate is more than 90% with these methods.
authors.affiliation: Toyohashi Heart Center, Cardiovascular Medicine.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Asakura
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D002908:Chronic Disease; D054059:Coronary Occlusion / Q000628:therapy*; D006801:Humans; D018084:Ultrasonography, Interventional